NPI | 1316143159 |
---|---|
Former Name | KERRY KARUNA FLUHART NEGRETE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 46611) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0093311) |
Enumeration Date | 2007-06-26 |
Last Update Date | 2010-08-25 |