| NPI | 1720205842 |
|---|---|
| Former Name | ALLISON NOELLE ANDERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT 45664) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF48083) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2010-03-07 |