| NPI | 1770621070 |
|---|---|
| Former Name | TANYA MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS19749) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA LCS19749) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2017-12-01 |