NPI | 1003164740 |
---|---|
Former Name | GLADYS MENDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT110784) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF77600) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-08-28 |
Last Update Date | 2019-01-23 |