NPI | 1134895964 |
---|---|
Former Name | ARY NOVONTY JEFFREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101Y00000X Counselor |
106H00000X Marriage & Family Therapist (Licence: CA 46118) | |
Enumeration Date | 2021-08-20 |
Last Update Date | 2024-05-02 |