NPI | 1386893105 |
---|---|
Former Name | WENDY CONSUELO MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 62693) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2008-09-17 |
Last Update Date | 2021-02-07 |