| NPI | 1053901769 | 
|---|---|
| Former Name | AIDA TAVAREZ | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW112875)  | 
| Additional Taxonomies | 104100000X Social Worker | 
| 171M00000X Case Manager/Care Coordinator | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-01-26 | 
| Last Update Date | 2025-08-27 |