| 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 |