| NPI | 1013676659 |
|---|---|
| Former Name | TANICIA MARIE HOOD-ROMO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-19992) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-199992) |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2024-04-12 |