NPI | 1740625664 |
---|---|
Former Name | STEFANIE ROSE RAMELLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121907) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
101Y00000X Counselor | |
Enumeration Date | 2013-05-06 |
Last Update Date | 2022-07-21 |