| NPI | 1578841409 |
|---|---|
| Former Name | SAMANTHA JOSE RECINTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149016005) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33005917A) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34006682A) | |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2018-05-15 |