NPI | 1649757345 |
---|---|
Former Name | ALYSSA MAE MCPHERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 107570) |
Enumeration Date | 2018-07-25 |
Last Update Date | 2019-12-16 |