NPI | 1922286996 |
---|---|
Former Name | CAROLA MADLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA #25153PSY) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT35432) |
Enumeration Date | 2008-02-01 |
Last Update Date | 2014-04-23 |