| NPI | 1033889845 |
|---|---|
| Former Name | JESSICA VANESSA TAMES GARCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 150438) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 106H00000X Marriage & Family Therapist (Licence: CA 137612) | |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2024-10-09 |