NPI | 1679647382 |
---|---|
Former Name | SARA BRANDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 43956) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0004271) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2008-09-04 |