| NPI | 1366987778 |
|---|---|
| Former Name | MARILYN OVALLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2025-05-09 |