NPI | 1730920315 |
---|---|
Former Name | CATHLEEN RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TS0200X Psychologist School (Licence: CA 240077500) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA APCC6936) |
101YS0200X Counselor School (Licence: CA 240077500) | |
Enumeration Date | 2024-06-05 |
Last Update Date | 2024-06-05 |