| NPI | 1780135251 |
|---|---|
| Former Name | FAWN DAHLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116646) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 4537) |
| 101YP2500X Counselor, Professional (Licence: CA 9391) | |
| 106H00000X Marriage & Family Therapist (Licence: CO 1846) | |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2021-05-07 |