NPI | 1992907224 |
---|---|
Former Name | SHEYLA MODESTA DUARTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS25758) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 14938) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2010-08-30 |