| NPI | 1982986139 |
|---|---|
| Former Name | ANTONIA IVETTE SANTIAGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122334) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 220079-2) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2024-04-17 |