| NPI | 1932260874 |
|---|---|
| Former Name | BONNIE KAY MYHRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 582) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 00582) |
| 106H00000X Marriage & Family Therapist (Licence: IA 200) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2021-05-14 |