NPI | 1093056582 |
---|---|
Former Name | SHIRLEY CELAJES NOLLORA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 81438) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA 35803) |
Enumeration Date | 2013-03-07 |
Last Update Date | 2023-06-13 |