| NPI | 1376982488 |
|---|---|
| Former Name | JANE WONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100275) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF89132) | |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2017-06-23 |