NPI | 1609921626 |
---|---|
Former Name | DANA ANGELA ROSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 45640) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF43574) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2023-07-11 |