NPI | 1700509445 |
---|---|
Former Name | BROOKE THORNBRUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 03477) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 03432-T) |
Enumeration Date | 2022-09-19 |
Last Update Date | 2023-11-08 |