NPI | 1568929271 |
---|---|
Former Name | DIANA YVETTE ROLDAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 109772) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT109772) |
Enumeration Date | 2019-02-28 |
Last Update Date | 2023-07-07 |