NPI | 1932502333 |
---|---|
Former Name | YADHIRA BERENICE CASTRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 93809) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF66772) |
Enumeration Date | 2014-09-30 |
Last Update Date | 2020-04-17 |