NPI | 1124438577 |
---|---|
Former Name | MARCIA BONOMI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106411) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF80969) |
Enumeration Date | 2014-05-06 |
Last Update Date | 2021-03-11 |