| NPI | 1720593411 |
|---|---|
| Other Name | MALISSA SUE LAROE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT113715) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF101880) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2023-07-06 |