NPI | 1356743975 |
---|---|
Former Name | ALLISON NICOLE GUTHRIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT102054) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 203588) |
Enumeration Date | 2014-09-25 |
Last Update Date | 2021-09-01 |