NPI | 1487923074 |
---|---|
Former Name | DOLORES MONTANEZ-RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW09925078) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 31577) |
Enumeration Date | 2011-12-28 |
Last Update Date | 2023-09-12 |