NPI | 1487719233 |
---|---|
Former Name | LOURDES GONZALEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL MH7526) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH7526) |
Enumeration Date | 2006-12-22 |
Last Update Date | 2019-08-29 |