NPI | 1881095834 |
---|---|
Former Name | NATALIE TALISTU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110763) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2014-09-09 |
Last Update Date | 2019-07-15 |