| NPI | 1225333537 | 
|---|---|
| Former Name | ERIKA MEDINA | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT91157) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 106H00000X Marriage & Family Therapist (Licence: CA MFT70189) | |
| Enumeration Date | 2011-01-18 | 
| Last Update Date | 2018-10-25 |