NPI | 1831697507 |
---|---|
Former Name | ANSTISS MARIE EATON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT139198) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA APCC13733) |
Enumeration Date | 2018-01-29 |
Last Update Date | 2024-03-20 |