NPI | 1609473669 |
---|---|
Former Name | BEATRIZ JACOBO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120806) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 120806) |
Enumeration Date | 2020-10-02 |
Last Update Date | 2023-06-30 |