NPI | 1669754453 |
---|---|
Former Name | ASHLEY DORRIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT #90582) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 75820) |
Enumeration Date | 2011-09-16 |
Last Update Date | 2015-11-30 |