| NPI | 1043613938 | 
|---|---|
| Former Name | ANDRES SANTOFIMIO | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 14407) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical | 
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2014-10-06 | 
| Last Update Date | 2020-06-22 |