NPI | 1104520592 |
---|---|
Former Name | CELESTE CARRERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 5289) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2023-03-29 |
Last Update Date | 2025-01-14 |