NPI | 1376843672 |
---|---|
Former Name | TAMARA JENNINGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT81538) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA LMFT81538) |
Enumeration Date | 2010-11-02 |
Last Update Date | 2024-09-05 |