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 |