| NPI | 1992852438 |
|---|---|
| Former Name | NANCY MEDINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924675) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 4558) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2019-03-26 |