NPI | 1467915629 |
---|---|
Other Name | SELENA ISELA KRADOLFER SCANLAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132377) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 132377) |
Enumeration Date | 2019-04-12 |
Last Update Date | 2023-08-07 |