NPI | 1770831299 |
---|---|
Former Name | CYNTHIA BRIALLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF69562) |
Enumeration Date | 2012-08-15 |
Last Update Date | 2013-12-11 |