NPI | 1861691834 |
---|---|
Former Name | JODY ANN REDIGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF 55885) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2007-07-11 |
Last Update Date | 2010-01-07 |