NPI | 1477710580 |
---|---|
Former Name | ERIN JEAN KITUMBA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1112) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2008-05-18 |
Last Update Date | 2020-12-02 |