| NPI | 1225151285 |
|---|---|
| Former Name | AYESHA CHRISTINA PAIGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 48508) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT48508) |
| 101YM0800X Counselor, Mental Health (Licence: CA IMF42835) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2024-10-01 |