NPI | 1306292065 |
---|---|
Former Name | DIANNA MOTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 101994) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor Mental Health (Licence: CA 101994) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-05-11 |
Last Update Date | 2023-06-06 |