| NPI | 1912962739 |
|---|---|
| Former Name | VIRGINIA MARIE OETTINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-06764) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M4321) |
| 104100000X Social Worker (Licence: NM I-06764) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2011-08-01 |