NPI | 1033651310 |
---|---|
Former Name | KARLA COCA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126035) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 108201) |
Enumeration Date | 2016-11-17 |
Last Update Date | 2021-05-26 |