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 |