NPI | 1417235979 |
---|---|
Former Name | VICTORIA M PEREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 103603) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW71478) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2011-08-01 |
Last Update Date | 2024-05-08 |