| 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 |