NPI | 1316177538 |
---|---|
Former Name | HISHARA C GODAKANDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001174) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 10594) |
106H00000X Marriage & Family Therapist (Licence: TX 201009) | |
Enumeration Date | 2009-07-22 |
Last Update Date | 2014-10-29 |