NPI | 1366973208 |
---|---|
Former Name | MARICELA AGUILAR AYALA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 96115) |
Enumeration Date | 2017-03-22 |
Last Update Date | 2024-05-31 |