| NPI | 1679234553 |
|---|---|
| Former Name | JOANNA MARY WATSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 30508) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 829) |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-01-04 |