| NPI | 1891055703 |
|---|---|
| Former Name | PATTY MIRIAM GOMEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW28005) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCS28005) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2025-03-04 |