NPI | 1972830057 |
---|---|
Former Name | ANDREA MELISSA NAVARRETE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 118748) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF60327) |
Enumeration Date | 2009-11-10 |
Last Update Date | 2020-06-09 |