| NPI | 1447039367 |
|---|---|
| Former Name | MARIA DEETHS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 107581) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AZ 12086) |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2023-09-28 |