NPI | 1518363787 |
---|---|
Former Name | MISHAY BUTLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT111253) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist (Licence: CA 81984) | |
Enumeration Date | 2014-11-14 |
Last Update Date | 2020-08-19 |