| NPI | 1538449947 |
|---|---|
| Former Name | FAITH ANN RUDISILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF 75516) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 100036) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2019-05-23 |