NPI | 1649078304 |
---|---|
Former Name | GABRIELA MIRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 153939) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2025-03-06 |
Last Update Date | 2025-04-01 |