NPI | 1396245726 |
---|---|
Former Name | GISELA RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801094804) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801094804) |
Enumeration Date | 2018-02-12 |
Last Update Date | 2022-10-31 |