NPI | 1255455564 |
---|---|
Former Name | DIANA MONTOYA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT52532) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 49008) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2018-09-10 |