| NPI | 1184246597 |
|---|---|
| Other Name | LAWRENCE A DEFIESTA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 10499-M) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014490) |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2024-04-18 |