NPI | 1710174552 |
---|---|
Former Name | MONICA JEANNE LORENZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 43362) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 43362) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 43362) | |
103TF0000X Psychologist, Family (Licence: CA 43362) | |
Enumeration Date | 2007-09-25 |
Last Update Date | 2011-08-11 |