NPI | 1366105249 |
---|---|
Former Name | ELIZABETH MORALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126458) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 126458) |
Enumeration Date | 2021-10-18 |
Last Update Date | 2023-07-05 |