| NPI | 1407191745 |
|---|---|
| Former Name | ALBA GRACIELA PUENTES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 2557) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 106854) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2024-10-04 |