| NPI | 1750557856 |
|---|---|
| Former Name | GUADALUPE LASCANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225800000X Recreation Therapist | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2014-12-23 |