NPI | 1801264734 |
---|---|
Former Name | ALISSA MICHELLE STOOPS, WISELY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1916) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF61580812) |
Enumeration Date | 2015-09-09 |
Last Update Date | 2024-09-19 |