| NPI | 1922456789 |
|---|---|
| Former Name | NICOLE SYLVIA IMHOF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT102212) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF87651) |
| 221700000X Art Therapist (Licence: 17-451) | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2025-01-02 |