| NPI | 1194024844 |
|---|---|
| Former Name | CARMEN TERESA GOMEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.0500338-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.0500338) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2024-03-25 |