NPI | 1316327901 |
---|---|
Former Name | QUISHA M CASTRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119317) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 66822) |
Enumeration Date | 2015-06-09 |
Last Update Date | 2020-06-30 |