NPI | 1013374784 |
---|---|
Former Name | INGRID HERNANDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: 44SC05891200) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06133800) |
Enumeration Date | 2016-01-26 |
Last Update Date | 2019-11-19 |