NPI | 1891939443 |
---|---|
Former Name | MANDI MICHELE BAUGHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT85949) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
106H00000X Marriage & Family Therapist (Licence: CA 85949) | |
Enumeration Date | 2009-04-27 |
Last Update Date | 2015-09-15 |