NPI | 1356576342 |
---|---|
Former Name | TANIA GABRIELA CISNEROS-VENTURA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 109684) |
Enumeration Date | 2009-05-20 |
Last Update Date | 2019-05-03 |