NPI | 1457025538 |
---|---|
Former Name | KAYLA DIANNE GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 149847) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-08-03 |
Last Update Date | 2024-09-18 |