NPI | 1629207022 |
---|---|
Former Name | KAREN LOUISE BROSSEAU/BRUNKHORST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT #32828) |
Enumeration Date | 2009-07-07 |
Last Update Date | 2009-07-07 |