NPI | 1700597044 |
---|---|
Former Name | ANNA MARIA ROSALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 111199) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 111199) |
Enumeration Date | 2022-12-07 |
Last Update Date | 2023-11-22 |