NPI | 1720421332 |
---|---|
Former Name | BIANCA RAQUEL SOLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 60988) |
Additional Taxonomies | 101Y00000X Counselor |
1041C0700X Social Worker, Clinical (Licence: CA 82686) | |
Enumeration Date | 2013-04-12 |
Last Update Date | 2019-09-16 |