NPI | 1194453753 |
---|---|
Former Name | KYLIE SILVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12844710-3501) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2022-08-11 |
Last Update Date | 2024-07-18 |