NPI | 1063848760 |
---|---|
Former Name | LORENA PEREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 81440) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 34715) |
Enumeration Date | 2013-09-25 |
Last Update Date | 2023-09-15 |