| NPI | 1285901728 |
|---|---|
| Former Name | SELENA MARIE PEREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 4SL06813000) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 079041) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2023-03-20 |