NPI | 1720503592 |
---|---|
Former Name | MONICA TIPPIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T221) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 101599) |
106H00000X Marriage & Family Therapist (Licence: CA 130759) | |
Enumeration Date | 2017-08-14 |
Last Update Date | 2024-05-29 |