NPI | 1588986855 |
---|---|
Former Name | LILA MARIE SUMPTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52737) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2010-02-26 |
Last Update Date | 2024-10-25 |