NPI | 1174789572 |
---|---|
Former Name | MARTINA C LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 83243) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
106H00000X Marriage & Family Therapist (Licence: CA IMF 59198) | |
Enumeration Date | 2008-08-05 |
Last Update Date | 2024-02-02 |