NPI | 1245674878 |
---|---|
Former Name | TERESA GUZMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13183) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL g255800906420) |
Enumeration Date | 2013-04-25 |
Last Update Date | 2025-10-01 |