NPI | 1346442340 |
---|---|
Former Name | CHRISTINA JOSEPHINE PRENDIVILLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC38464) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2007-07-08 |