NPI | 1750685970 |
---|---|
Other Name | MARIA TERESA ICASIANO AQUINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 53901) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF58281) |
Enumeration Date | 2011-01-03 |
Last Update Date | 2019-01-01 |