| NPI | 1700926045 |
|---|---|
| Former Name | JUDITH MARIE BURKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T2941) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC42850) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2025-06-26 |