| NPI | 1811014137 |
|---|---|
| Former Name | RENEE RISING SUN DEYETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 27341) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 069713-1) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2013-08-27 |