| NPI | 1003195066 |
|---|---|
| Former Name | DIANA TO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 50214) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 2021012918) |
| 101YP2500X Counselor Professional (Licence: CA LPC 85) | |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2024-04-23 |