| NPI | 1629475900 |
|---|---|
| Former Name | AUDRA TAMULAITIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW62789) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2022-03-17 |