NPI | 1134655228 |
---|---|
Former Name | AMY CHENAULT STONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35002084A) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 108504) |
Enumeration Date | 2017-05-10 |
Last Update Date | 2020-08-09 |