NPI | 1225405368 |
---|---|
Former Name | BREEA WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 114597) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF95482) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2015-08-24 |
Last Update Date | 2023-08-23 |