| NPI | 1518389659 |
|---|---|
| Former Name | VERONICA YVETTE TELLEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99735) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2018-08-14 |