| NPI | 1609393800 |
|---|---|
| Former Name | CYNTHIA MARIELOS HERRARTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT111027) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC5965) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2019-10-09 |