NPI | 1598378408 |
---|---|
Former Name | AMELIA ANN VALOIS/GALLEGOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 19780) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC6527) |
Enumeration Date | 2020-08-28 |
Last Update Date | 2025-07-04 |