NPI | 1881584365 |
---|---|
Former Name | KELLI FRAYA MALMIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT156532) |
Enumeration Date | 2025-07-07 |
Last Update Date | 2025-08-10 |