NPI | 1366871055 |
---|---|
Former Name | VIANEY PONCE ANGEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC60416018) |
Additional Taxonomies | 104100000X Social Worker (Licence: WA SC60416018) |
Enumeration Date | 2013-11-04 |
Last Update Date | 2024-11-03 |