| NPI | 1134647498 |
|---|---|
| Former Name | CAROLYN GARDELLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119360) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: 119360) |
| 106H00000X Marriage & Family Therapist (Licence: CA 100568) | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2021-01-18 |