NPI | 1093330987 |
---|---|
Former Name | KATE FRANCES REARDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134210) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT119806) |
106H00000X Marriage & Family Therapist (Licence: CA AMFT119994) | |
Enumeration Date | 2020-06-16 |
Last Update Date | 2022-08-14 |