| NPI | 1962923698 |
|---|---|
| Former Name | IVETTE VILLANUEVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122925) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 97984) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2024-06-13 |