NPI | 1912363433 |
---|---|
Former Name | GABRIELLA JANET ABURTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 111388) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW94948) |
Enumeration Date | 2016-01-13 |
Last Update Date | 2024-10-15 |