NPI | 1851776454 |
---|---|
Former Name | JENNIFER CHEANEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 95050) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF74783) |
Enumeration Date | 2015-07-23 |
Last Update Date | 2022-12-08 |