NPI | 1578940706 |
---|---|
Former Name | CELIA TREJO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801098097) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2015-04-27 |
Last Update Date | 2020-03-18 |