NPI | 1689746976 |
---|---|
Former Name | ANNE MARIE KOLKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 47243) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 51856) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2014-01-06 |