| NPI | 1922139088 |
|---|---|
| Former Name | LISA M NICHOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT46073) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC46073) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2017-02-06 |