NPI | 1811728298 |
---|---|
Other Name | EVELING ITZEL CRISOSTOMO MOSCOSA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104390) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX 104390) |
Enumeration Date | 2024-08-08 |
Last Update Date | 2025-08-09 |