NPI | 1689890139 |
---|---|
Former Name | NINA MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCW14323) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA LCS 14323) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2019-05-13 |