NPI | 1528451135 |
---|---|
Former Name | DIANA S CRUZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149019611) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2015-03-07 |
Last Update Date | 2018-04-19 |