NPI | 1760978027 |
---|---|
Former Name | JAEL FLORES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT119271) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT92521) |
106H00000X Marriage & Family Therapist (Licence: CA 119271) | |
Enumeration Date | 2018-07-10 |
Last Update Date | 2024-01-22 |