NPI | 1700142643 |
---|---|
Former Name | LUIZA MANNO GONCALVES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 31644) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 31644) |
Enumeration Date | 2012-04-04 |
Last Update Date | 2012-04-04 |