NPI | 1518032986 |
---|---|
Former Name | ANGELINA KRISTINE COLBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MF75083) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2006-11-21 |
Last Update Date | 2015-12-11 |