NPI | 1265896831 |
---|---|
Former Name | VILMA MERCADO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R026711-1) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 946435991) |
Enumeration Date | 2016-04-11 |
Last Update Date | 2016-04-11 |