| NPI | 1194867432 |
|---|---|
| Former Name | MARLENE ANN GILES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN LP01724) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 01724) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-12-10 |