NPI | 1487700324 |
---|---|
Former Name | SUSAN STELLA ALDRICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT253322) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 25332) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2023-05-12 |