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 LAMFT-6161) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID MFTI-5910) |
222Q00000X Developmental Therapist | |
Enumeration Date | 2013-08-06 |
Last Update Date | 2021-05-10 |