NPI | 1306912902 |
---|---|
Former Name | LISA QUIETO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS24713) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ACSW18814) |
Enumeration Date | 2006-11-27 |
Last Update Date | 2012-05-25 |