| NPI | 1851796460 |
|---|---|
| Former Name | RUTH ANN AVINA LOREDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW92961) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical (Licence: CA 32842) | |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2022-12-21 |