NPI | 1922519701 |
---|---|
Former Name | ALEXANDRA MONIQUE BRAVO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041S0200X Social Worker School (Licence: CA 96620) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 66775) |
Enumeration Date | 2017-10-19 |
Last Update Date | 2021-04-13 |