NPI | 1538752860 |
---|---|
Former Name | DEBORAH FAYE REDDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112456) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 112456) |
101YP2500X Counselor, Professional (Licence: CA 6161) | |
163WC0400X Registered Nurse, Case Management (Licence: CA 385620) | |
Enumeration Date | 2021-02-17 |
Last Update Date | 2023-04-14 |