| 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 |