NPI | 1265017198 |
---|---|
Former Name | LUCRETIA DENDEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904016905) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 963383) |
Enumeration Date | 2021-03-11 |
Last Update Date | 2024-08-25 |