| NPI | 1154109189 |
|---|---|
| Former Name | ELIZABETH MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904016855) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0903003861) |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2024-07-15 |