NPI | 1306221098 |
---|---|
Former Name | COURTNEY QUIGG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 88481) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 942519001) |
Enumeration Date | 2015-07-23 |
Last Update Date | 2015-08-26 |