| NPI | 1235943309 |
|---|---|
| Former Name | DIAMOND WALLACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 115163) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 126456) |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-02-06 |