| NPI | 1578065256 |
|---|---|
| Former Name | POWEIELATEI MARY IYEGHA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010217) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 4020C) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |