| NPI | 1104395912 |
|---|---|
| Former Name | ESTEFANI MEDINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 123566) |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2025-04-16 |