NPI | 1245865492 |
---|---|
Former Name | BRIANA MAE HABEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130324) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT117861) |
Enumeration Date | 2020-03-09 |
Last Update Date | 2022-01-13 |