| NPI | 1598257818 |
|---|---|
| Former Name | TINA MARIE GOULART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 109359) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2022-07-26 |