NPI | 1457734832 |
---|---|
Former Name | KARENA MALMGREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107334) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC6943) |
101YP2500X Counselor, Professional (Licence: CA PCCI3105) | |
Enumeration Date | 2015-07-03 |
Last Update Date | 2023-01-23 |