NPI | 1083853048 |
---|---|
Former Name | CHRISTINA MUNGUIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 10960) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical (Licence: CA 28797) | |
Enumeration Date | 2009-02-16 |
Last Update Date | 2019-08-12 |