| NPI | 1215216148 |
|---|---|
| Former Name | NANCY GONZALEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |