NPI | 1629108139 |
---|---|
Former Name | DIANA ELENA PINEDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 70212) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2007-03-06 |
Last Update Date | 2021-11-29 |