| NPI | 1134432602 |
|---|---|
| Former Name | DEVONDA REIMONENQ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AR 5110-C) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker Clinical (Licence: LA 17137) | |
| 1041C0700X Social Worker Clinical (Licence: MS C9035) | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2023-02-06 |