| NPI | 1669746947 |
|---|---|
| Former Name | VIVIAN FABIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104820) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2012-03-03 |
| Last Update Date | 2024-05-20 |