NPI | 1447567508 |
---|---|
Former Name | MARIA ISABEL MENDOZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927886) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO NLC0107904) |
Enumeration Date | 2010-09-09 |
Last Update Date | 2022-07-21 |