NPI | 1245329275 |
---|---|
Former Name | IRIS ELENA YSERN-GONZALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 10442) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904014721) |
1041C0700X Social Worker, Clinical (Licence: DC LC20002319) | |
Enumeration Date | 2006-10-11 |
Last Update Date | 2025-09-02 |