NPI | 1679958151 |
---|---|
Former Name | MARISELA ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 77746) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 47-4615477) |
Enumeration Date | 2015-07-24 |
Last Update Date | 2024-04-15 |