NPI | 1447745682 |
---|---|
Former Name | MARIA DE LA CRUZ MORENO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 15630) |
Additional Taxonomies | 101Y00000X Counselor |
171M00000X Case Manager/Care Coordinator | |
172V00000X Community Health Worker | |
Enumeration Date | 2018-06-29 |
Last Update Date | 2024-04-12 |