NPI | 1730400862 |
---|---|
Former Name | MARILYN L. TUDOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC46562) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC4656Z) |
Enumeration Date | 2010-06-11 |
Last Update Date | 2010-09-01 |