| NPI | 1518390210 |
|---|---|
| Former Name | JESSICA ROBLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT105972) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF77918) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2019-01-14 |