| NPI | 1457050957 |
|---|---|
| Former Name | MARISSA LORENE YBANEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA APCC21743) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT117506) |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2026-02-06 |