NPI | 1700926045 |
---|---|
Former Name | JUDITH MARIE BURKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 42850) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC42850) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2023-07-10 |