NPI | 1043474927 |
---|---|
Former Name | DELLA JANE VANDERBUNDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 84703) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2008-07-10 |
Last Update Date | 2025-08-25 |