| NPI | 1548041114 |
|---|---|
| Former Name | JOHANNA GUADALUPE GONZALEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 122353) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2024-07-26 |