| NPI | 1245524586 |
|---|---|
| Former Name | CHRISTIAN RONQUILLO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 105867) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2021-12-15 |