NPI | 1598387987 |
---|---|
Former Name | LANITRA BONNIE JEAN MUHAMMED-HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 14844) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 141996) |
Enumeration Date | 2020-05-08 |
Last Update Date | 2024-04-11 |