| NPI | 1902386907 |
|---|---|
| Former Name | SHANA J RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17737) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW12830) |
| Enumeration Date | 2018-08-19 |
| Last Update Date | 2020-11-10 |