| NPI | 1366691362 |
|---|---|
| Former Name | REGINA ELIZA ACOSTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW68521) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2016-03-09 |