NPI | 1548610645 |
---|---|
Former Name | AMANDA CHRISTINE MERTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002044) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0017397) |
101Y00000X Counselor (Licence: CA PCCI13475) | |
101YM0800X Counselor, Mental Health (Licence: CA 8430) | |
106H00000X Marriage & Family Therapist (Licence: CA 106054) | |
106H00000X Marriage & Family Therapist (Licence: CA IMF92373) | |
106H00000X Marriage & Family Therapist (Licence: CA LMFT106054) | |
Enumeration Date | 2016-06-20 |
Last Update Date | 2021-11-23 |