NPI | 1649625625 |
---|---|
Former Name | EMILY BROOKE CRONKHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 88590) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 2328) |
Enumeration Date | 2016-04-27 |
Last Update Date | 2018-03-17 |