NPI | 1790207512 |
---|---|
Former Name | ASHLEY BLANCARTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT118634) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF95264) |
Enumeration Date | 2017-07-13 |
Last Update Date | 2022-08-19 |