NPI | 1093951741 |
---|---|
Former Name | JEAN BETH WOLFE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC25278) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001090) |
Enumeration Date | 2008-12-31 |
Last Update Date | 2013-02-28 |