| NPI | 1215648035 |
|---|---|
| Former Name | ELIZABETH VASQUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-19225) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LMSW-19225) |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2023-01-27 |