NPI | 1811392087 |
---|---|
Former Name | ELIDIA ELIVIER DE LOS SANTOS RAMOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 99289) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW63256) |
Enumeration Date | 2014-10-29 |
Last Update Date | 2021-03-03 |