NPI | 1639393465 |
---|---|
Former Name | LEMEL RUTH FIRESTONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 42162) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 1534) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2019-08-07 |