NPI | 1144489519 |
---|---|
Former Name | DELIA DENISE GONZALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA PT30094) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA PT30094) |
Enumeration Date | 2008-06-02 |
Last Update Date | 2021-03-01 |