NPI | 1063897445 |
---|---|
Former Name | REBECCA CHASE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 88109) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 79495) |
Enumeration Date | 2015-07-27 |
Last Update Date | 2022-02-11 |