NPI | 1457769531 |
---|---|
Former Name | MARIBEL RODARTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 94214) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW71636) |
Enumeration Date | 2014-08-01 |
Last Update Date | 2021-05-06 |