| NPI | 1659783751 |
|---|---|
| Former Name | IRENE REYES ESTEVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 25383) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2017-08-31 |