NPI | 1376295626 |
---|---|
Former Name | DIANA J GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 128550) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 107079) |
Enumeration Date | 2022-01-18 |
Last Update Date | 2025-02-26 |