NPI | 1225155252 |
---|---|
Former Name | TYLER ELIZABETH HOLCOMB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT44922) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2007-03-23 |
Last Update Date | 2013-09-04 |