NPI | 1235284944 |
---|---|
Former Name | JUDITH MARLENE VAZQUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96826) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-01-24 |
Last Update Date | 2019-02-21 |