NPI | 1043511843 |
---|---|
Former Name | LILIANA M PANDURO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 112415) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 90990) |
Enumeration Date | 2010-11-10 |
Last Update Date | 2024-05-08 |