NPI | 1902171630 |
---|---|
Former Name | NATASHIA CARTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 34221) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 77381) |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2012-03-13 |
Last Update Date | 2023-11-03 |