NPI | 1205389541 |
---|---|
Former Name | MAKENNA ENGERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122331) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-08-03 |
Last Update Date | 2025-02-20 |