NPI | 1255662714 |
---|---|
Former Name | MICHELE NOEL BENNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC48059) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 48059) |
Enumeration Date | 2010-01-22 |
Last Update Date | 2011-12-19 |