| NPI | 1689897381 |
|---|---|
| Former Name | PATRICIA MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7610) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 5042) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2018-04-17 |