NPI | 1164207429 |
---|---|
Former Name | ESMERALDA RENTERIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 190146765) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 71905) |
Enumeration Date | 2023-08-25 |
Last Update Date | 2023-08-25 |