NPI | 1265823371 |
---|---|
Former Name | JULIE BEDELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 42325) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT42325) |
Enumeration Date | 2015-02-11 |
Last Update Date | 2020-12-10 |