NPI | 1255649430 |
---|---|
Former Name | GINA V DURAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 93932) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker | |
Enumeration Date | 2010-09-21 |
Last Update Date | 2021-01-27 |