NPI | 1831690296 |
---|---|
Former Name | TRACY L OGLESBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA 60797965) |
Enumeration Date | 2018-02-21 |
Last Update Date | 2024-09-17 |