| NPI | 1568929271 |
|---|---|
| Former Name | DIANA YVETTE ROLDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 109772) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA AMFT109772) |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2023-07-07 |