| NPI | 1013586460 |
|---|---|
| Former Name | ISAMAR CAMILLE GONZALEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW108608) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW16942) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2023-02-01 |