NPI | 1659756989 |
---|---|
Former Name | JUAN IGNACIO SONEYRA OSSOLA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 109529) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 0001853) |
106H00000X Marriage & Family Therapist (Licence: CA IMF86996) | |
Enumeration Date | 2015-07-28 |
Last Update Date | 2021-06-24 |