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 |