| NPI | 1467981605 |
|---|---|
| Former Name | MIRIAM NAYELI SEVILLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: VA 0904009835) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 149.016844) |
| Enumeration Date | 2017-06-10 |
| Last Update Date | 2017-06-10 |