NPI | 1760852750 |
---|---|
Former Name | MARISELA LOPEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT145499) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 150120277) |
106H00000X Marriage & Family Therapist (Licence: CA IMF92977) | |
106H00000X Marriage & Family Therapist (Licence: CA AMFT133065) | |
Enumeration Date | 2015-10-02 |
Last Update Date | 2024-03-10 |