NPI | 1700468360 |
---|---|
Former Name | TABITHA ESPINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-0352) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 105390) |
Enumeration Date | 2021-04-23 |
Last Update Date | 2024-04-30 |