NPI | 1174505721 |
---|---|
Former Name | AMY LERAE MCROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC39199) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: 39199) |
106H00000X Marriage & Family Therapist (Licence: CA 39199) | |
Enumeration Date | 2005-11-18 |
Last Update Date | 2024-12-18 |