NPI | 1881962850 |
---|---|
Former Name | JENNIFER L NYBO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60529993) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LF60529993) |
Enumeration Date | 2011-12-06 |
Last Update Date | 2025-05-21 |