NPI | 1386035541 |
---|---|
Former Name | SHELLY NICOLE BAROLDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT107981) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF82864) |
Enumeration Date | 2015-02-10 |
Last Update Date | 2023-12-08 |