NPI | 1740610328 |
---|---|
Former Name | DIANA ALEJANDRA MUNOZ-GALVAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 5161LSCSW) |
Additional Taxonomies | 104100000X Social Worker (Licence: KS 9060) |
Enumeration Date | 2013-11-19 |
Last Update Date | 2020-09-23 |