NPI | 1962831297 |
---|---|
Former Name | KATHLEEN LAUREN PFEIFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 88894) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 71735) |
Enumeration Date | 2013-11-07 |
Last Update Date | 2020-09-18 |