| NPI | 1881113934 |
|---|---|
| Former Name | MAGALY LLANOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011374) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 18460) |
| Enumeration Date | 2017-09-10 |
| Last Update Date | 2021-09-08 |