NPI | 1598476756 |
---|---|
Former Name | PAIGE GASPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127727) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 10234) |
Enumeration Date | 2022-12-08 |
Last Update Date | 2022-12-08 |