NPI | 1154641124 |
---|---|
Former Name | RAFAEL MONTOYA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT53058) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2010-06-01 |
Last Update Date | 2022-01-25 |