NPI | 1831530021 |
---|---|
Former Name | CORRIE NEWCOME |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115638) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 204992) |
Enumeration Date | 2013-07-16 |
Last Update Date | 2025-10-15 |