NPI | 1295428373 |
---|---|
Former Name | SIDNEY ALEXIS ANDRADE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 150649) |
Additional Taxonomies | 172V00000X Community Health Worker |
172V00000X Community Health Worker | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2023-06-02 |
Last Update Date | 2024-10-18 |