NPI | 1699030668 |
---|---|
Former Name | CAITLIN MARYVIRGINIA MCMONAGLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60608556) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-07-05 |
Last Update Date | 2015-10-21 |