| NPI | 1285029629 |
|---|---|
| Former Name | KATHLEEN SUSAN PRESTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 38183) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 1450) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |