| 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 | 2013-11-04 |