| NPI | 1629387238 |
|---|---|
| Former Name | ELLEN CLAIRE VANDENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF 71389) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2019-05-28 |