| NPI | 1376980227 |
|---|---|
| Professional Name | WANDA RAMONA BOUTTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 29331) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: CA 293646) |
| Enumeration Date | 2013-06-02 |
| Last Update Date | 2024-04-15 |