NPI | 1093478455 |
---|---|
Former Name | ASHLEIGH DANIELLE VILLARREAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 105886) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX 105886) |
Enumeration Date | 2021-10-21 |
Last Update Date | 2024-04-25 |