| NPI | 1265737928 |
|---|---|
| Former Name | GLORIA IVONNE MORENO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 081124) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 084904-01) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2025-03-05 |