| NPI | 1639514441 |
|---|---|
| Former Name | ISAMAR ERMESE BAEZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111868) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 91709) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2021-06-10 |