| NPI | 1780878819 |
|---|---|
| Former Name | LIDIA DE LEON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 50042) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 54049) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2023-07-10 |