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 |