NPI | 1093912065 |
---|---|
Former Name | INGRID ANGELA WEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 4770) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 7499) |
Enumeration Date | 2007-07-02 |
Last Update Date | 2013-04-05 |