NPI | 1841646395 |
---|---|
Former Name | JOSEFINA PENA-OGANDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801099385) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2016-05-13 |
Last Update Date | 2018-08-23 |