NPI | 1831619329 |
---|---|
Former Name | ELIZABETH ELLIS-CRUZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NM C-06307) |
Additional Taxonomies | 104100000X Social Worker |
1041C0700X Social Worker, Clinical (Licence: IN 34008210A) | |
Enumeration Date | 2017-06-26 |
Last Update Date | 2024-12-02 |