NPI | 1881117547 |
---|---|
Former Name | SAIRA UTLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136520) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
Enumeration Date | 2017-07-24 |
Last Update Date | 2023-01-26 |