NPI | 1285074195 |
---|---|
Former Name | MISTY ANNE DAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 109583) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 82181) |
Enumeration Date | 2013-06-25 |
Last Update Date | 2022-12-30 |