NPI | 1417397779 |
---|---|
Former Name | ELIZABETH LUCIANA CAVAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 35575) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID 33000) |
Enumeration Date | 2013-07-01 |
Last Update Date | 2021-06-16 |