| 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 |