NPI | 1821474321 |
---|---|
Former Name | LOURDES CARANTO DE GUZMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 141126) |
Enumeration Date | 2015-08-06 |
Last Update Date | 2018-03-17 |