NPI | 1033637756 |
---|---|
Former Name | RUTH AMELIA MONTERROSA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 113212) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 83846) |
104100000X Social Worker (Licence: CA 83846) | |
Enumeration Date | 2017-09-01 |
Last Update Date | 2023-01-23 |