NPI | 1124469663 |
---|---|
Former Name | CAITLIN COLLEEN NEWCOMB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT96759) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF74289) |
106H00000X Marriage & Family Therapist (Licence: CA 74289) | |
106H00000X Marriage & Family Therapist (Licence: CA 96759) | |
Enumeration Date | 2013-07-12 |
Last Update Date | 2019-11-11 |