NPI | 1871997809 |
---|---|
Former Name | RENEE LANOUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT0001482) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2014-10-20 |
Last Update Date | 2018-01-24 |