| NPI | 1619433497 |
|---|---|
| Former Name | LISA ROCHELLE DANIELE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT129281) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC12130) |
| Enumeration Date | 2019-02-16 |
| Last Update Date | 2024-03-20 |