NPI | 1609289412 |
---|---|
Former Name | MARISOL MINEYA MURGUIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 91437) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: CA 62250) | |
Enumeration Date | 2014-06-09 |
Last Update Date | 2023-02-03 |