| NPI | 1043506363 |
|---|---|
| Former Name | IVET SANTIAGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NV 8122-S) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2020-04-23 |