Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 103875 | TX |
NPI | 1003484460 |
---|---|
Provider Name | Erika Jewels Olivarez |
First Address | San Benito, TX 78586-0193 |
Second Address | Harlingen, TX 78550-5684 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2021 |
Last Update Date | 14/06/2021 |