| NPI | 1952180416 |
|---|---|
| Other Name | JACKIE SAMANIEGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 65085) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 65085) |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-10-10 |