NPI | 1518232313 |
---|---|
Former Name | SERINA NICOLASA TORRES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100163) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTI14822) |
Enumeration Date | 2012-03-13 |
Last Update Date | 2018-07-18 |