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 | 2023-10-26 |