NPI | 1629400114 |
---|---|
Former Name | DEENA MARIE M BRETON-HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LMFT-10099) |
Enumeration Date | 2013-08-06 |
Last Update Date | 2024-07-10 |