| NPI | 1710618558 |
|---|---|
| Former Name | CARLY BOYNTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT131378) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA APCC11250) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-06-28 |