NPI | 1710252721 |
---|---|
Former Name | PAULINE MARIE FLORES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 21851) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-3952) |
1041C0700X Social Worker, Clinical (Licence: HI LSW1975) | |
Enumeration Date | 2012-03-09 |
Last Update Date | 2023-09-12 |