NPI | 1073367538 |
---|---|
Former Name | BLANCA ESTELA GALLEGOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2024-04-12 |
Last Update Date | 2025-02-14 |