| NPI | 1033123849 |
|---|---|
| Other Name | AL MEDINA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC35047) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC35047) |
| 101YS0200X Counselor, School (Licence: CA MFC35047) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2011-08-20 |