| NPI | 1134743214 |
|---|---|
| Former Name | FABIOLA VIRGINIA CONTRERAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2022-10-05 |