| NPI | 1811651292 |
|---|---|
| Former Name | ANDREA SUE GILMAN-VALLEJO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: IL 287969) |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2021-10-22 |