NPI | 1932592342 |
---|---|
Former Name | VIVIANA ANDRADE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT99648) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF81979) |
Enumeration Date | 2015-03-09 |
Last Update Date | 2020-01-10 |