NPI | 1083947485 |
---|---|
Former Name | MARIA DEL CARMEN REYES VELASQUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 28415) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2009-09-16 |
Last Update Date | 2013-12-20 |