NPI | 1366690406 |
---|---|
Former Name | MARIA THERESA DVEIRIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 215210) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LW60308917) |
Enumeration Date | 2008-09-03 |
Last Update Date | 2024-07-22 |