| NPI | 1265023402 |
|---|---|
| Former Name | ELORA PATRICE SAN JUAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 94668) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW22385) |
| Enumeration Date | 2021-01-31 |
| Last Update Date | 2023-12-04 |