NPI | 1861823726 |
---|---|
Former Name | CHRISTINA ELISE CORTELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1662) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 9047A) |
Enumeration Date | 2013-12-03 |
Last Update Date | 2019-10-15 |