NPI | 1811236383 |
---|---|
Former Name | LIZETT GAONA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW 34800) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW34800) |
104100000X Social Worker (Licence: CA ASW34800) | |
Enumeration Date | 2013-02-04 |
Last Update Date | 2015-07-10 |