| NPI | 1558488460 |
|---|---|
| Other Name | JACQUELINE DIEGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 41732) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 41732) |
| 104100000X Social Worker (Licence: NM M-05991) | |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2021-01-04 |