NPI | 1396903084 |
---|---|
Former Name | BRANDY SHARELLE THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 82210) |
Enumeration Date | 2008-05-29 |
Last Update Date | 2024-10-10 |