NPI | 1730676206 |
---|---|
Former Name | JOANNE K STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT104154) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT104154) |
Enumeration Date | 2018-04-19 |
Last Update Date | 2021-05-21 |