NPI | 1295864098 |
---|---|
Former Name | TERESA ESPERANZA GONZALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27320) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA RPS2012163) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2018-11-20 |