NPI | 1760790299 |
---|---|
Former Name | MICHELLE OSUNA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW82145) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2010-09-17 |
Last Update Date | 2020-01-28 |