NPI | 1831556240 |
---|---|
Former Name | KERSTIN MARIE POWERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT119105) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci22300418) |
Enumeration Date | 2016-01-15 |
Last Update Date | 2020-11-20 |