NPI | 1699203422 |
---|---|
Former Name | MELINDA VAZQUEZ FLORES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 125885) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 84817) |
104100000X Social Worker (Licence: CA 84817) | |
Enumeration Date | 2017-05-24 |
Last Update Date | 2024-11-05 |