NPI | 1952578007 |
---|---|
Former Name | LORNA JANINE PENNISI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53191) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2008-05-08 |
Last Update Date | 2013-05-10 |