ELSY SAMANTHA REALSOLA

PASADENA, CA
NPI1689050106
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  LMFT119413)
Additional Taxonomies101YM0800X Counselor, Mental Health
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-08-06
Last Update Date2020-07-09
Business Address
ELSY SAMANTHA REALSOLA
2500 E FOOTHILL BLVD STE 300
PASADENA, CA 91107-7102
Phone number: 626-993-3000
Mailing Address
ELSY SAMANTHA REALSOLA
644 COTTONWOOD LN
SAN DIMAS, CA 91773-3611
Phone number: 909-344-6091