NPI | 1699253559 |
---|---|
Former Name | LAUREN M MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 4806G) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 63414) |
Enumeration Date | 2018-08-02 |
Last Update Date | 2021-05-12 |