NPI | 1912253527 |
---|---|
Former Name | NEVA MARIE ST.MORRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100299) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2012-08-01 |
Last Update Date | 2023-08-28 |