| NPI | 1508385568 |
|---|---|
| Former Name | ROSALIE A CAMACHO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02926) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C11636) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2025-10-13 |