NPI | 1306178751 |
---|---|
Former Name | MARA ELIZABETH HERRIOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105397) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 105397) |
Enumeration Date | 2010-02-10 |
Last Update Date | 2023-08-31 |