NPI | 1760647234 |
---|---|
Former Name | THIA JOLIE SPEZIALY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA mfc45386) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT45386) |
106H00000X Marriage & Family Therapist (Licence: LMFT45386) | |
Enumeration Date | 2008-07-24 |
Last Update Date | 2024-02-28 |