NPI | 1992041768 |
---|---|
Former Name | ELSA QUINTANA MAGANA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 83137) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-12-21 |
Last Update Date | 2021-01-20 |