NPI | 1073213377 |
---|---|
Former Name | PEYTON HOPE SIMON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT138412) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2023-03-06 |
Last Update Date | 2023-03-08 |