| NPI | 1659788917 |
|---|---|
| Former Name | JESSICA ROSYADOL CUADRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT124643) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA IMF81718) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF81718) | |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2021-04-02 |