| NPI | 1326382581 |
|---|---|
| Former Name | JOVANKA GEORGETTE MENA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019567) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW128347) |
| Enumeration Date | 2012-11-11 |
| Last Update Date | 2019-03-05 |