NPI | 1447721063 |
---|---|
Former Name | AUDREY NAOMI PEARCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA LMFT132113) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 110475) |
Enumeration Date | 2018-12-07 |
Last Update Date | 2024-02-23 |