| NPI | 1699808428 |
|---|---|
| Former Name | LAURA JACOBO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 88165) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2017-03-07 |