NPI | 1699848655 |
---|---|
Former Name | KATHLEEN ANN STANFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT34768) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT34768) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2024-10-27 |