NPI | 1033557798 |
---|---|
Former Name | SANDRA CELIS CASTRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 8072-C) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C015467) |
Enumeration Date | 2013-06-04 |
Last Update Date | 2024-10-23 |