NPI | 1558483636 |
---|---|
Former Name | CYREL ANN TANGCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 75506) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 53398) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2023-09-20 |