NPI | 1013079953 |
---|---|
Former Name | CARRON STEFFANIE VARNIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100016) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103T00000X Psychologist | |
106H00000X Marriage & Family Therapist (Licence: CA IMF 82898) | |
Enumeration Date | 2006-12-15 |
Last Update Date | 2020-05-20 |