NPI | 1295876688 |
---|---|
Former Name | DANIELLE NICHOLE MEJIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 49922) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 204494) |
Enumeration Date | 2007-02-09 |
Last Update Date | 2023-08-21 |