NPI | 1316546260 |
---|---|
Other Name | KLEAH DANIELLE MABALHIN FERNANDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.026005) |
Enumeration Date | 2020-10-21 |
Last Update Date | 2023-10-31 |