NPI | 1215550710 |
---|---|
Former Name | VANESSA GONZALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 1041S0200X Social Worker, School |
Enumeration Date | 2020-05-19 |
Last Update Date | 2020-05-19 |