| NPI | 1700592862 |
|---|---|
| Former Name | MARIA GOMEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: OK 8940) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2025-07-02 |