NPI | 1003089780 |
---|---|
Former Name | JAMIE L VINCENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker | |
Enumeration Date | 2008-04-02 |
Last Update Date | 2010-02-05 |