NPI | 1568894624 |
---|---|
Former Name | STEPHANIE RUTH MICHAELS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102787) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 69691) |
Enumeration Date | 2013-07-31 |
Last Update Date | 2019-05-09 |