| NPI | 1750416640 |
|---|---|
| Former Name | DIANNE EASTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LMFT5489) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT16249) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2016-08-10 |