| NPI | 1396147906 |
|---|---|
| Former Name | ANDREA MICHELLE MARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 141695) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 4559) |
| 106H00000X Marriage & Family Therapist (Licence: CA 101418) | |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2023-11-17 |