NPI | 1689096760 |
---|---|
Former Name | KATHY BENNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT99809) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF78829) |
Enumeration Date | 2014-01-09 |
Last Update Date | 2021-11-23 |