NPI | 1144688078 |
---|---|
Former Name | JUDITH MAY THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT43352) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC1565) |
Enumeration Date | 2016-02-06 |
Last Update Date | 2016-02-06 |