| NPI | 1215746987 |
|---|---|
| Former Name | DANIELLE ANDREA NICOLE CEBALLOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT161104) |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2026-02-05 |