NPI | 1689749087 |
---|---|
Former Name | NOHEMY OTILIA VALDERRAMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-13596) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 071599-1) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2024-03-11 |