NPI | 1063181428 |
---|---|
Former Name | REIKA DAWN HOWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107036) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 14684) |
Enumeration Date | 2021-09-09 |
Last Update Date | 2025-04-09 |