| NPI | 1821340480 |
|---|---|
| Former Name | GENEVIEVE MARILYN GONZALEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 77553) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2023-08-15 |