NPI | 1639626344 |
---|---|
Former Name | CRISTINA DIAZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130536) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 4801) |
Enumeration Date | 2016-09-10 |
Last Update Date | 2022-01-18 |