| NPI | 1356954150 |
|---|---|
| Former Name | LISA ANNE GONZALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 118016) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 96494) |
| 104100000X Social Worker | |
| 104100000X Social Worker (Licence: CA 96494) | |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2024-04-01 |