| NPI | 1780882597 |
|---|---|
| Former Name | ALLISON SEVERN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFC40649) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC40649) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-12-18 |