NPI | 1912911850 |
---|---|
Former Name | GERALDINE MAE CIRIMELE CHASE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 35711) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA mfc35711) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2022-07-21 |