NPI | 1295489888 |
---|---|
Former Name | CHRISTINA MARIE SOTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 141279) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 119145) |
Enumeration Date | 2022-02-11 |
Last Update Date | 2023-09-07 |