| NPI | 1871147850 |
|---|---|
| Other Name | TAVISH LARISE TRUJILLO HUBBARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 7907304-3501) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 1041C0700X Social Worker, Clinical (Licence: OR L15731) | |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2025-01-22 |