| NPI | 1881877678 |
|---|---|
| Former Name | PAULETTE ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA LMFT819) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA LMHC) |
| 106H00000X Marriage & Family Therapist (Licence: MA LMFT) | |
| 101YM0800X Counselor, Mental Health (Licence: MA LMHC3341) | |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2013-01-24 |