| NPI | 1639224207 |
|---|---|
| Professional Name | CHRISTINE ELLEN PUEBLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60300097) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00053850) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2018-02-27 |