NPI | 1306249214 |
---|---|
Former Name | KAELLY ARELLANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW92593) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW72799) |
1041C0700X Social Worker, Clinical (Licence: CA 92593) | |
Enumeration Date | 2014-10-06 |
Last Update Date | 2024-07-25 |