| NPI | 1114322906 |
|---|---|
| Former Name | JODI H GUTIERREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LPC-7875) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-15121) |
| 101YM0800X Counselor, Mental Health (Licence: UT 340782-6004) | |
| 101Y00000X Counselor (Licence: AZ LPC-17984) | |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2021-10-06 |