| NPI | 1497279129 |
|---|---|
| Former Name | MADONNA MOBLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124660) |
| Additional Taxonomies | 101Y00000X Counselor |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF99381) | |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2021-05-06 |