NPI | 1003322538 |
---|---|
Former Name | MARLY KAY BOROVICH TORRES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AK 176973) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801102053) |
Enumeration Date | 2017-12-20 |
Last Update Date | 2024-03-22 |