NPI | 1154807253 |
---|---|
Former Name | DESIREE ALEXANDRA GATICA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2018-07-12 |
Last Update Date | 2023-03-06 |