| NPI | 1457575953 |
|---|---|
| Former Name | KATHLEEN MARIE DAVILA/PRADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108277) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 51478) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2023-04-20 |