NPI | 1598489445 |
---|---|
Former Name | ELISHA DEAN POLLOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136412) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2022-10-03 |
Last Update Date | 2023-01-18 |