NPI | 1609323401 |
---|---|
Former Name | DESTINY SHAREEN ALVAREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115902) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health (Licence: CA 92989) | |
106H00000X Marriage & Family Therapist (Licence: CA 92989) | |
Enumeration Date | 2016-09-08 |
Last Update Date | 2020-10-12 |