NPI | 1770025181 |
---|---|
Former Name | ANGELA STCROIX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96741) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 96741) |
Enumeration Date | 2016-11-16 |
Last Update Date | 2023-09-05 |