| 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 |