| 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 |