NPI | 1801824818 |
---|---|
Professional Name | MARLOU RUSSELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT19599) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY12147) |
Enumeration Date | 2006-06-29 |
Last Update Date | 2025-09-11 |