NPI | 1568800951 |
---|---|
Former Name | ADRIANNA MARIA GUARACHA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 91263) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 71121) |
Enumeration Date | 2013-06-07 |
Last Update Date | 2018-08-06 |