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 |