NPI | 1285928895 |
---|---|
Former Name | SANDRA VANESA GUTIERREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 78674) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 33709) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2011-06-01 |
Last Update Date | 2024-02-26 |