| NPI | 1639208234 |
|---|---|
| Former Name | LAURIE GUTIERREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60673320) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 115074) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-01-16 |