NPI | 1831671007 |
---|---|
Former Name | MARY ANN WESTERHOUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT6792) |
Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
Enumeration Date | 2018-09-04 |
Last Update Date | 2018-09-04 |