NPI | 1215271515 |
---|---|
Former Name | GAUDENCIA CASTILLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 5682) |
Additional Taxonomies | 104100000X Social Worker (Licence: HI LSW 1871) |
1041C0700X Social Worker, Clinical (Licence: HI LCSW4332) | |
Enumeration Date | 2012-11-27 |
Last Update Date | 2022-06-09 |