NPI | 1427345362 |
---|---|
Former Name | MONIQUE JOHANNA QUITORIANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW81897) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2011-06-29 |
Last Update Date | 2024-08-14 |