| NPI | 1831446475 |
|---|---|
| Former Name | ROXANA FAJARDO SOTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 150391) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2024-11-07 |