NPI | 1700445186 |
---|---|
Former Name | ADILENE EDITH VENTURA LOPEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW122559) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW94888) |
171M00000X Case Manager/Care Coordinator | |
390200000X Student in an Organized Health Care Education/Training Program | |
101YM0800X Counselor, Mental Health (Licence: CA ASW94888) | |
Enumeration Date | 2019-06-10 |
Last Update Date | 2024-05-20 |