NPI | 1487007399 |
---|---|
Former Name | HEATHER KENNY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 118793) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 4336) |
106H00000X Marriage & Family Therapist (Licence: CA 101856) | |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2016-07-14 |
Last Update Date | 2024-07-09 |