NPI | 1487780607 |
---|---|
Former Name | MERIDA JONAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA MFT37216) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA MFT37216) |
106H00000X Marriage & Family Therapist (Licence: CA MFT37216) | |
Enumeration Date | 2007-02-23 |
Last Update Date | 2007-07-08 |