NPI | 1013177567 |
---|---|
Former Name | JENA CASTLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LMFT-8584) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT125510) |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2008-06-09 |
Last Update Date | 2022-07-28 |