NPI | 1235630120 |
---|---|
Former Name | JENNIFER CORONADO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125614) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-02-26 |
Last Update Date | 2023-09-25 |