NPI | 1164100517 |
---|---|
Former Name | CINTHIA MORENO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 120198-01) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-21162) |
Enumeration Date | 2023-07-06 |
Last Update Date | 2023-07-06 |