| 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 |