NPI | 1275870131 |
---|---|
Former Name | ANGELA RITA CARLOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT99685) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2013-01-12 |
Last Update Date | 2024-01-22 |