NPI | 1427323757 |
---|---|
Former Name | SANDY LEE VARGAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009506) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2012-03-20 |
Last Update Date | 2018-03-27 |