NPI | 1114192424 |
---|---|
Former Name | EMILY DIANE MATSUMURA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 44872) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA LR920411) |
Enumeration Date | 2008-04-28 |
Last Update Date | 2022-07-21 |