NPI | 1912063108 |
---|---|
Former Name | KRISTINE MICHELLE PORTER-GUERRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT50115) |
Enumeration Date | 2006-12-29 |
Last Update Date | 2023-04-07 |