| NPI | 1053798868 |
|---|---|
| Former Name | JODIE ELIZABETH LAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113965) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2021-08-23 |