| NPI | 1760861702 |
|---|---|
| Former Name | JOSEPHINE PENALBA OLDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 101192) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF 85095) | |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2020-04-24 |