| NPI | 1588938831 |
|---|---|
| Former Name | KERRI ANN BORDAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001563) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2013-02-04 |