NPI | 1962060772 |
---|---|
Former Name | LETICIA LAGUNAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 35289) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX 35289) |
Enumeration Date | 2019-06-05 |
Last Update Date | 2021-04-30 |