NPI | 1487034708 |
---|---|
Former Name | MARY ANNA SHORTER-CASTANEDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928829) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2015-06-02 |
Last Update Date | 2023-03-02 |