NPI | 1780134221 |
---|---|
Former Name | HOLLY STANGLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112930) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF61331135) |
Enumeration Date | 2016-10-07 |
Last Update Date | 2025-01-27 |