NPI | 1649592361 |
---|---|
Former Name | VERA RISTIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 81970) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 81970) |
Enumeration Date | 2010-02-22 |
Last Update Date | 2017-04-07 |