NPI | 1942655634 |
---|---|
Former Name | TALIA JEAN HOFFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT124500) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 86103) |
Enumeration Date | 2016-04-29 |
Last Update Date | 2022-04-20 |