| NPI | 1962748822 |
|---|---|
| Former Name | SHALOME SAIDA HANCOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 52270) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904007739) | |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2022-04-19 |