NPI | 1851467435 |
---|---|
Former Name | JAMIE ANN COPPERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 47983) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2006-11-27 |
Last Update Date | 2010-02-12 |