NPI | 1356536809 |
---|---|
Former Name | ANDREA CONSUELO GODINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3284) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 4751) |
Enumeration Date | 2007-09-07 |
Last Update Date | 2021-05-20 |