NPI | 1780330522 |
---|---|
Former Name | MARISOL RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 17265) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-03-01 |
Last Update Date | 2025-01-05 |