| NPI | 1669753778 |
|---|---|
| Former Name | DOREEN ELLENA NEUSTICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 94480) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF61983) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2016-10-17 |