NPI | 1093934176 |
---|---|
Former Name | SYLVIA MENDOZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW33506) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2007-04-25 |
Last Update Date | 2015-04-10 |