| NPI | 1841887106 |
|---|---|
| Professional Name | KRYSTAL ROSE TAVAREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-24 |