| NPI | 1003473422 |
|---|---|
| Former Name | RACHEL MABUTA AVILA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV IC-1390) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV 8201-S) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-11-08 |