| NPI | 1750999041 |
|---|---|
| Former Name | ANDREA CERVANTES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 119531) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2022-01-05 |