Participant Info

First Name
Rev. Dr. Daniel
Last Name
Medina, OSB
Address
City
State
Country
Zip Code
Phone

Personal Info

Company Logo Image
Photo
Website, or Blog
password

Business

Bio
I agree to ISTA's Code of Ethics
yes
Certifications
Services Offered
Proof of Liabilty Insurance
flmedd33_dr_daniel_medina.pdf
Liability Expiration Date
November 15, 2020
Types of Sessions
Instruments / Modalities