NPI | 1265845689 |
---|---|
Former Name | MARIA BENAVIDES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10656) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW 3689) |
Enumeration Date | 2014-06-03 |
Last Update Date | 2020-10-12 |