NPI | 1104319896 |
---|---|
Former Name | KARLA SOTO FLORES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 117452) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT117452) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-06-07 |
Last Update Date | 2020-11-30 |