| NPI | 1093870222 |
|---|---|
| Former Name | ERICA LESLIE TOLLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 89609) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA 2037) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2021-12-09 |