| NPI | 1447549696 |
|---|---|
| Former Name | MARCOS TAMAYO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116847) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 85082) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2026-08-25 |