| 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 |