NPI | 1205214517 |
---|---|
Former Name | DAINA SOTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10108) |
Additional Taxonomies | 101Y00000X Counselor |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2015-05-07 |
Last Update Date | 2024-11-05 |