NPI | 1437169612 |
---|---|
Former Name | LOUISE NELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT34982) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT34982) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2020-09-22 |