NPI | 1710485313 |
---|---|
Former Name | ANDREA VIELMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-01-29 |
Last Update Date | 2023-01-31 |