NPI | 1437700655 |
---|---|
Former Name | PRISCILLA LOZANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 144872) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health (Licence: CA 117047) | |
106S00000X Behavior Technician | |
Enumeration Date | 2019-09-28 |
Last Update Date | 2024-02-20 |