NPI | 1649687450 |
---|---|
Professional Name | JUANA SILVA FULTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW87062) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
104100000X Social Worker (Licence: CA ASW68292) | |
Enumeration Date | 2014-07-14 |
Last Update Date | 2019-07-18 |