| NPI | 1073949822 |
|---|---|
| Former Name | CYNTHIA GONZALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0014138) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC.0997359) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0014138) | |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2024-08-14 |