NPI | 1326700329 |
---|---|
Former Name | ERLINDA MARILU MENDOZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
Enumeration Date | 2021-10-07 |
Last Update Date | 2021-10-07 |