NPI | 1043934516 |
---|---|
Former Name | MARIEL MERCADO RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SW18217) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SE18217) |
Enumeration Date | 2022-09-28 |
Last Update Date | 2022-09-28 |