NPI | 1962892414 |
---|---|
Former Name | LYNZE DURHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3560) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT001430) |
Enumeration Date | 2015-02-04 |
Last Update Date | 2023-03-07 |