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 | 2022-08-12 |