| NPI | 1265102255 |
|---|---|
| Former Name | MYRNA JUDITH DALAKISHVILI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC61520842) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: WA SA61410542) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2024-03-23 |