| NPI | 1639570385 |
|---|---|
| Former Name | STEPHANIE MARIZA CORONA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2015-06-16 |