NPI | 1083025795 |
---|---|
Former Name | LINDSAY GUTIERREZ LEAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111092) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 87340) |
Enumeration Date | 2014-05-15 |
Last Update Date | 2024-03-12 |