| NPI | 1336727759 |
|---|---|
| Former Name | MARQUITA LYNETTE BERNARD |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 123488) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 123488) |
| 104100000X Social Worker (Licence: CA 123488) | |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2024-07-17 |