NPI | 1649436643 |
---|---|
Former Name | GLENDA L GONZALEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2008-07-30 |
Last Update Date | 2018-03-13 |