| NPI | 1285902072 |
|---|---|
| Former Name | KASSIE NICOLE MORENO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT104527) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF73409) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2018-02-15 |