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 |