| NPI | 1649650060 |
|---|---|
| Former Name | MONIQUE LOLITA FIELDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 4292C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 2586G) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2019-06-13 |