| NPI | 1124489133 |
|---|---|
| Former Name | DOMINIQUE BERNARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 59561) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 10982) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |