NPI | 1215133269 |
---|---|
Former Name | LUCIA A GUTIERREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 62060) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-06-26 |
Last Update Date | 2020-10-23 |