NPI | 1073645305 |
---|---|
Former Name | PAULA FIELDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1674) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 001075-01) |
106H00000X Marriage & Family Therapist (Licence: CA 39823) | |
106H00000X Marriage & Family Therapist (Licence: CA MFC39823) | |
Enumeration Date | 2007-03-12 |
Last Update Date | 2023-05-26 |