NPI | 1770212128 |
---|---|
Former Name | CARMEN LEYVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL06797300) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06797300) |
Enumeration Date | 2022-06-09 |
Last Update Date | 2022-06-28 |