NPI | 1104684786 |
---|---|
Professional Name | JODI LISTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT145047) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC15695) |
Enumeration Date | 2024-03-08 |
Last Update Date | 2024-03-08 |