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 |