NPI | 1073020731 |
---|---|
Former Name | SHARLETT B ROSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 153327) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 6315) |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2018-01-03 |
Last Update Date | 2025-02-19 |