NPI | 1932672102 |
---|---|
Former Name | NATALIE THERESA EPPLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123674) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 123674) |
106H00000X Marriage & Family Therapist (Licence: CA 110331) | |
Enumeration Date | 2019-01-09 |
Last Update Date | 2021-01-18 |