| NPI | 1831609585 |
|---|---|
| Former Name | SAMANTHA RENEE HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2017024857) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 9771) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |