| NPI | 1649678087 |
|---|---|
| Former Name | ANA LAURA DE LOS SANTOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133788) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF79313) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2022-07-25 |