| NPI | 1144837501 |
|---|---|
| Former Name | JESSICA LOURDES ALCAZAREN PENA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120435) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 9282) |
| 106H00000X Marriage & Family Therapist (Licence: CA 9282) | |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2024-02-11 |