| NPI | 1285903096 |
|---|---|
| Former Name | JOHNNY A CORTINAS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 55920) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 104100000X Social Worker (Licence: TX 55920) | |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2020-09-01 |