| NPI | 1588011910 |
|---|---|
| Former Name | YVONNE GARCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 72674) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 72674) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2017-08-07 |