NPI | 1740540137 |
---|---|
Former Name | MICHELLE BROWER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111290) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2012-05-21 |
Last Update Date | 2024-11-25 |