NPI | 1659956332 |
---|---|
Former Name | HILARY LYNN GONZALEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2405778) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801094663) |
Enumeration Date | 2021-03-14 |
Last Update Date | 2024-09-13 |