NPI | 1003475708 |
---|---|
Former Name | ANA MARIA GOMEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW89557) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW89557) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2019-06-07 |
Last Update Date | 2019-07-03 |