| NPI | 1356172233 |
|---|---|
| Former Name | MAYRA GARCIA RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150113815) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 150.113815) |
| 1041C0700X Social Worker Clinical (Licence: IL 150.113815) | |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-15 |