| NPI | 1184102014 |
|---|---|
| Former Name | CHRISTINA KATHLEEN BASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112942) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT87820) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2021-05-14 |