| NPI | 1659705242 |
|---|---|
| Former Name | ALLISON BURGESS BRANDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90705) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T1850) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFTI 68112) | |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2022-01-04 |