NPI | 1952620874 |
---|---|
Former Name | HAYLEY NICOLE ELROD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97513) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist (Licence: CA IMF 73231) | |
Enumeration Date | 2010-05-18 |
Last Update Date | 2019-07-29 |