NPI | 1619236437 |
---|---|
Former Name | JUDITH PATRICIA D'LEON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111379) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL TPMF615) |
106H00000X Marriage & Family Therapist | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-05-14 |
Last Update Date | 2023-01-04 |