NPI | 1417586264 |
---|---|
Former Name | JENNIFER NG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 101545) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI 567) |
221700000X Art Therapist (Licence: CA 17-147) | |
Enumeration Date | 2020-04-03 |
Last Update Date | 2023-01-13 |