NPI | 1548554892 |
---|---|
Former Name | NANCY ARACELY LEOS MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA intern no. IMF 66703) |
Enumeration Date | 2011-06-04 |
Last Update Date | 2011-06-04 |