| NPI | 1013573112 |
|---|---|
| Former Name | THERESA U CAVAIUOLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139849) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2023-07-12 |