| NPI | 1902206998 |
|---|---|
| Former Name | MARLENE ANN MARIE JEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NV 1100) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2018-12-28 |