NPI | 1407977051 |
---|---|
Former Name | MAYRA J VILLAREAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 14071) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 27677) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2018-08-14 |