NPI | 1700443538 |
---|---|
Former Name | JESSICA JEANNETTE RIOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 145048) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT108555) |
Enumeration Date | 2019-05-28 |
Last Update Date | 2024-02-21 |