| NPI | 1629461983 |
|---|---|
| Former Name | NINA MARIAN TUNSTALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 94049) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 65271) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2020-02-13 |