| NPI | 1033601661 |
|---|---|
| Former Name | IRENE ISLAS GOMEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 117328) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 117328) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2021-07-09 |