NPI | 1669923025 |
---|---|
Former Name | FATIMA AMADOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 98125) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: CA 98125) | |
Enumeration Date | 2016-10-20 |
Last Update Date | 2022-07-21 |