NPI | 1578935987 |
---|---|
Former Name | BRENDA JUAREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 11342-C) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2015-10-24 |
Last Update Date | 2024-04-23 |