NPI | 1689726853 |
---|---|
Former Name | BONNIE GRACE SARAKBI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT0396) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY LMFT0000371) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2007-07-08 |