| NPI | 1922537596 |
|---|---|
| Former Name | DIANA PEDEVILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SLO5883200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL05883200) |
| 1041C0700X Social Worker, Clinical (Licence: 44SL05883200) | |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2023-09-09 |