| NPI | 1588959829 |
|---|---|
| Former Name | ANDREEA GAVRIS SIMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53140) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2020-06-10 |