| NPI | 1003164740 |
|---|---|
| Former Name | GLADYS MENDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT110784) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF77600) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2019-01-23 |