NPI | 1992439764 |
---|---|
Former Name | EVELIN SANDOVAL G |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 110064) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 110064) |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical (Licence: CA 110064) | |
Enumeration Date | 2022-07-15 |
Last Update Date | 2024-09-20 |