NPI | 1073872362 |
---|---|
Former Name | EMERALD ANN BERMUDEZ ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96682) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103K00000X Behavior Analyst | |
Enumeration Date | 2012-05-08 |
Last Update Date | 2022-02-11 |