NPI | 1720260821 |
---|---|
Former Name | PERLA ALANIZ DIAZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 288642) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-11-29 |
Last Update Date | 2018-04-12 |