NPI | 1023572740 |
---|---|
Former Name | TAYLOR ANNE BARRERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW-42938) |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: ID LMSW-37704) |
Enumeration Date | 2019-01-27 |
Last Update Date | 2023-02-09 |