| NPI | 1528461738 |
|---|---|
| Former Name | SUSAN NICOLE DE LA ROSA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 104921) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2025-06-03 |