| NPI | 1588046668 |
|---|---|
| Other Name | MAEVEN ELIZABETH MENDOZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6635) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TN 9345) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2023-12-08 |