NPI | 1881086858 |
---|---|
Former Name | JUANITA RACHEL GUTIERREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95033020) |
Enumeration Date | 2015-02-26 |
Last Update Date | 2022-07-11 |