NPI | 1710135975 |
---|---|
Former Name | ELISE MARIE SOBOLESKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 78451) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2008-08-29 |
Last Update Date | 2014-02-18 |