| NPI | 1689026627 |
|---|---|
| Former Name | JUSTIN GIVAN-GONZALES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 62450) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 62450) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2022-09-06 |