NPI | 1184064370 |
---|---|
Former Name | DONNA T. MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM X-08838) |
Additional Taxonomies | 104100000X Social Worker (Licence: NM M-08314) |
Enumeration Date | 2013-07-02 |
Last Update Date | 2015-02-19 |