| NPI | 1649322298 |
|---|---|
| Former Name | RENEE BOLLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC33849) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA MFC33849) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA MFC33849) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2014-11-25 |