| NPI | 1568870152 |
|---|---|
| Former Name | LESLIE JEANNETE RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120139) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 81973) |
| Enumeration Date | 2014-07-26 |
| Last Update Date | 2024-03-04 |