NPI | 1396291332 |
---|---|
Former Name | IRAIS JAZMIN RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126091) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2016-08-30 |
Last Update Date | 2023-05-10 |