NPI | 1215359278 |
---|---|
Former Name | MARIA ESMERALDA REYES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 7601-C) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM C-09919) |
Enumeration Date | 2014-01-10 |
Last Update Date | 2021-07-13 |