NPI | 1861860447 |
---|---|
Former Name | KAREN GARRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120212) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA 210007572) |
Enumeration Date | 2015-09-12 |
Last Update Date | 2024-03-09 |