NPI | 1023149887 |
---|---|
Former Name | LYNNETT YOLANDA CRAIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 137946) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 97985) |
164X00000X Licensed Vocational Nurse (Licence: CA 199739) | |
Enumeration Date | 2007-03-07 |
Last Update Date | 2023-10-12 |