NPI | 1528250735 |
---|---|
Former Name | SUSAN JEAN GERBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53489) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-08-11 |
Last Update Date | 2014-02-20 |