NPI | 1881062719 |
---|---|
Former Name | NADYNE BERNADETTE MONTIEL HIDALGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CSW.09925244) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 077647) |
Enumeration Date | 2015-09-09 |
Last Update Date | 2021-10-13 |