NPI | 1538548623 |
---|---|
Former Name | MARIANA LUNA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1901539) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 34008101A) |
Enumeration Date | 2015-05-22 |
Last Update Date | 2019-07-30 |