| NPI | 1770935249 |
|---|---|
| Former Name | EVELYN ROSE VELASCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110962) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 4359) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2019-04-03 |