| NPI | 1336727759 |
|---|---|
| Former Name | MARQUITA LYNETTE BERNARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 101544) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 101544) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2023-08-29 |