NPI | 1154690188 |
---|---|
Former Name | CARRIE TAUB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT53480) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 53480) |
Enumeration Date | 2011-12-20 |
Last Update Date | 2018-01-19 |