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 |