| NPI | 1083030324 |
|---|---|
| Former Name | DELISA LEE EBERWEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116175) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2020-04-27 |