| NPI | 1407117062 |
|---|---|
| Former Name | KARLA MENJIVAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 117050) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 76463) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2020-06-09 |