| NPI | 1790374809 |
|---|---|
| Former Name | MARITZA GONZALEZ AGOSTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.2309326) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2025-12-22 |