NPI | 1306919121 |
---|---|
Former Name | LETICIA GALYEAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 26625) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA 17701) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2023-12-15 |