NPI | 1376980227 |
---|---|
Professional Name | WANDA RAMONA BOUTTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: CA 293646) |
Enumeration Date | 2013-06-02 |
Last Update Date | 2024-11-22 |