NPI | 1265849871 |
---|---|
Former Name | MICHELLE A HAJENIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104721) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF75048) |
Enumeration Date | 2014-07-15 |
Last Update Date | 2018-02-23 |