| NPI | 1679243109 |
|---|---|
| Other Name | LUZ A GONZALEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2021-09-16 |