| NPI | 1861739773 |
|---|---|
| Former Name | JESSICA LEONORA GUTIERREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 61064173) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 4706) |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2023-10-16 |