| NPI | 1215353131 |
|---|---|
| Former Name | MARNIE ELIZABETH FLORES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007032A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149015408) |
| 104100000X Social Worker (Licence: IL 150012613) | |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2021-11-23 |