| NPI | 1891030656 |
|---|---|
| Other Name | JEANETTE LARSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111202) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 67510) |
| 101Y00000X Counselor | |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2019-01-15 |