| NPI | 1265907448 |
|---|---|
| Former Name | BIANCA LANA BURRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 007374) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA 007957) |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2024-04-05 |