| NPI | 1629544176 |
|---|---|
| Former Name | KIMBERLY HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 3100) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 60637) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2025-10-10 |