| NPI | 1841653110 |
|---|---|
| Former Name | JOLENE DIZON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT107838) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF79716) |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2018-07-31 |