| NPI | 1073149431 |
|---|---|
| Former Name | ANGELICA CAMACHO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11480) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT MSW.004148) |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2021-08-20 |