| NPI | 1356697700 |
|---|---|
| Former Name | GRACE ETCHEVERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW119446) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 089524) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2024-04-23 |