| NPI | 1891075081 |
|---|---|
| Former Name | DENESE WALERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA 001208) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA 000196) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2020-12-03 |