NPI | 1285974527 |
---|---|
Former Name | MARISELA AVALOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW89932) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: CA 89932) | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2013-02-24 |
Last Update Date | 2021-01-27 |