NPI | 1700335007 |
---|---|
Former Name | CARISSA ARESTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L12292) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61084473) |
Enumeration Date | 2016-09-27 |
Last Update Date | 2023-01-20 |