NPI | 1427320910 |
---|---|
Former Name | SOFIA ESTELA LANDOIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 107019) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 71229) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-01-31 |
Last Update Date | 2018-06-25 |