NPI | 1396145207 |
---|---|
Former Name | LIZETH ANDRADE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110093) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
106H00000X Marriage & Family Therapist (Licence: CA 87141) | |
106H00000X Marriage & Family Therapist (Licence: TX 204210) | |
Enumeration Date | 2014-08-27 |
Last Update Date | 2024-09-23 |