NPI | 1619258787 |
---|---|
Former Name | CINDI LONNETTE KUNKLEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96756) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: CA 96756) | |
Enumeration Date | 2011-09-02 |
Last Update Date | 2021-11-01 |