NPI | 1104955384 |
---|---|
Former Name | RAMONA HERNANDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 93394) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A910000) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2020-06-03 |