NPI | 1366573347 |
---|---|
Other Name | LYDIA MARIE HERNANDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY19896) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 19896) |
106H00000X Marriage & Family Therapist (Licence: CA MFC 31916) | |
Enumeration Date | 2007-03-08 |
Last Update Date | 2009-12-04 |