NPI | 1770694317 |
---|---|
Former Name | AMY CHRISTINE WORRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT45928) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 43855) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2022-12-30 |