| NPI | 1871107490 |
|---|---|
| Former Name | JETZEMANITH CAMPOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149025152) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2022-12-16 |