NPI | 1407160070 |
---|---|
Former Name | CYNTHIA E MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: UT 9187320-2501) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2010-08-05 |
Last Update Date | 2021-11-10 |