NPI | 1497034276 |
---|---|
Former Name | VALERIE MARIE GRADILLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 7780-C) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2011-08-10 |
Last Update Date | 2021-05-21 |