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 |