| NPI | 1467047035 |
|---|---|
| Former Name | RAISA ALISIA MATHIES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014514) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014795) |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2023-12-18 |