NPI | 1285231654 |
---|---|
Former Name | NELLA M VALENCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 84913) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT84913) |
Enumeration Date | 2020-10-07 |
Last Update Date | 2022-04-27 |