| NPI | 1912158700 |
|---|---|
| Former Name | MATILDE GONZALEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 88833) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 58210) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2023-06-19 |