| NPI | 1467702928 |
|---|---|
| Former Name | JULIA ALEXANDRA MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 3586) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA PCCI588) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2022-03-31 |