| NPI | 1407529407 |
|---|---|
| Former Name | REGINA MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OK 8136) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 69465) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2024-11-25 |