| NPI | 1326261645 |
|---|---|
| Professional Name | MARINA RENEE DANTZLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW004620) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW 20571) |
| 1041C0700X Social Worker Clinical (Licence: PA CW016449) | |
| 1041C0700X Social Worker Clinical (Licence: IL 149013295) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-11-24 |