NPI | 1346778867 |
---|---|
Former Name | LAURIE MARIE HILTBRAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131357) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 109675) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-05-29 |
Last Update Date | 2022-02-24 |