NPI | 1912025297 |
---|---|
Former Name | TABARA HEARNS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT91151) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2007-03-26 |
Last Update Date | 2018-06-12 |