| NPI | 1750468104 |
|---|---|
| Former Name | LOURDES AMALIA VARGAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT36776) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC36776) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-02-14 |