NPI | 1942702022 |
---|---|
Former Name | YOLANDA MEDINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT128551) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 128551) |
Enumeration Date | 2018-03-05 |
Last Update Date | 2023-05-24 |