| NPI | 1316102064 |
|---|---|
| Former Name | GINGER L LAVENDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 57286) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 51578) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2023-08-08 |