NPI | 1780036780 |
---|---|
Former Name | BRITTANY LEIGH COVERDELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131667) |
Additional Taxonomies | 101Y00000X Counselor |
106H00000X Marriage & Family Therapist (Licence: CA 108360) | |
Enumeration Date | 2016-07-01 |
Last Update Date | 2022-03-25 |