| NPI | 1730329210 |
|---|---|
| Former Name | RENA MARIE VASQUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 33184) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA imf59257) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2022-02-23 |