NPI | 1871814954 |
---|---|
Former Name | DAISY V CERQUEIRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117345) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2010-06-12 |
Last Update Date | 2016-09-15 |