NPI | 1992280978 |
---|---|
Former Name | LILA VIRGINIA MAJANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09930712) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2018-09-26 |
Last Update Date | 2024-08-20 |