| NPI | 1336456375 |
|---|---|
| Former Name | GAMALIEL BELTRAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 79913) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 31783) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2017-11-20 |