NPI | 1417235565 |
---|---|
Former Name | NORMA VANESSA MENDOZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 70203) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2011-07-22 |
Last Update Date | 2023-08-23 |