| NPI | 1821251653 |
|---|---|
| Former Name | TAMMY IRENE GALLEGOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC52112) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2022-04-14 |