NPI | 1912136839 |
---|---|
Former Name | PAULINE ALEXANDRIA CASTELLANOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2009-07-13 |
Last Update Date | 2023-09-29 |