NPI | 1457812935 |
---|---|
Former Name | ERIKA PALENZUELA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129016) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 96932) |
Enumeration Date | 2019-03-27 |
Last Update Date | 2021-11-12 |