| NPI | 1750542874 |
|---|---|
| Former Name | LAURA FUENTES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 50667) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 50667) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2021-11-15 |