NPI | 1790382976 |
---|---|
Former Name | ADELY MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LW61460967) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61378513) |
Enumeration Date | 2020-10-01 |
Last Update Date | 2024-07-12 |