NPI | 1063999282 |
---|---|
Former Name | LEYLA JOLIVETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123861) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 5309) |
101YM0800X Counselor, Mental Health (Licence: CA 107736) | |
Enumeration Date | 2018-07-20 |
Last Update Date | 2024-11-19 |