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 |