NPI | 1063501690 |
---|---|
Former Name | MARCIA MAE ZUADE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS3572) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC5937) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2007-07-08 |