NPI | 1790013399 |
---|---|
Former Name | JENINE ANDREA GUTIERREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 090183898) |
Enumeration Date | 2009-11-20 |
Last Update Date | 2009-11-20 |