NPI | 1811301526 |
---|---|
Former Name | ERICA ARLENE RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT-15481) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO MFTC 0013418) |
Enumeration Date | 2014-06-20 |
Last Update Date | 2023-12-07 |