NPI | 1093216145 |
---|---|
Former Name | AMAUNI PAULA GRAHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124772) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 104064) |
Enumeration Date | 2018-02-23 |
Last Update Date | 2024-04-23 |