| NPI | 1710190590 |
|---|---|
| Former Name | SORAYA MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 070437-1) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2021-06-01 |