NPI | 1508984386 |
---|---|
Former Name | KRISTIN RENE' SANDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 46027) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201289) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2011-08-09 |