| NPI | 1801330451 | 
|---|---|
| Former Name | JULIE ISABEL TEJADA | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135527)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF96031)  | 
| Enumeration Date | 2016-12-15 | 
| Last Update Date | 2022-10-28 |