NPI | 1487868618 |
---|---|
Former Name | KERRY L ESSAKOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC #48425) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF #51864) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2011-02-25 |