| NPI | 1639253909 |
|---|---|
| Former Name | JANET IBARRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 00156074) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW29181) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2018-09-26 |