| NPI | 1679940225 |
|---|---|
| Former Name | MARIEVA GONZALEZ JACOBO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116176) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T3056) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2026-03-17 |