NPI | 1609487156 |
---|---|
Former Name | JESSICA TORRES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041S0200X Social Worker, School (Licence: NM X-11626) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2023-0449) |
Enumeration Date | 2020-08-10 |
Last Update Date | 2024-06-03 |