NPI | 1104345834 |
---|---|
Former Name | DIANA GUERRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW101114) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW83571) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-09-13 |
Last Update Date | 2021-05-05 |