| NPI | 1881131498 |
|---|---|
| Former Name | MYLYIA SHYNIQUE BWERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 12015A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 2163) |
| Enumeration Date | 2017-01-21 |
| Last Update Date | 2022-11-23 |