NPI | 1205394962 |
---|---|
Former Name | ELIZABETH FLORES CORREA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 158326) |
Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
172V00000X Community Health Worker | |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2019-03-12 |
Last Update Date | 2025-10-01 |