| NPI | 1336797661 |
|---|---|
| Former Name | MARIA LORENA BRACHO MENDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT134398) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA LPCC11460) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2024-04-23 |