NPI | 1992135743 |
---|---|
Former Name | BRITTANY KASEFANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID lmft-6020) |
Additional Taxonomies | 101Y00000X Counselor (Licence: ID LMFT-6020) |
106H00000X Marriage & Family Therapist (Licence: ID LAMFT-5411) | |
Enumeration Date | 2013-11-14 |
Last Update Date | 2020-04-03 |