NPI | 1487715785 |
---|---|
Former Name | MARC ANTHONY CAMPOS-RAMOS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 94028409) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
1041C0700X Social Worker, Clinical (Licence: CA ASW 14648) | |
1041C0700X Social Worker, Clinical | |
1041C0700X Social Worker, Clinical (Licence: CA 25797) | |
Enumeration Date | 2006-12-12 |
Last Update Date | 2024-08-26 |