| NPI | 1417363771 |
|---|---|
| Former Name | GABRIELLA MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80832) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2019-01-09 |