NPI | 1003384504 |
---|---|
Former Name | PAOLA PAMELA TEJEDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA ACSW98758) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-11-02 |
Last Update Date | 2024-02-21 |