NPI | 1700104932 |
---|---|
Former Name | JAMIE ANN BONFIGLIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1016) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF61342033) |
Enumeration Date | 2010-05-12 |
Last Update Date | 2022-10-03 |