| NPI | 1417350091 |
|---|---|
| Former Name | SILVIA IRIS CARABALLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97863) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF74081) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2017-01-31 |