| NPI | 1538318597 |
|---|---|
| Former Name | MAYRA ALEJANDRA QUEZADA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2023-10-13 |