NPI | 1053722975 |
---|---|
Former Name | AMBER EVE CHATREAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105598) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-05-13 |
Last Update Date | 2021-09-22 |