| NPI | 1518071679 |
|---|---|
| Former Name | KARI ANN VANBRAKLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123228) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 123228) |
| 101Y00000X Counselor (Licence: CA 67916) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 67916) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2021-12-03 |