NPI | 1003334160 |
---|---|
Former Name | TRINESE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 118593) |
Additional Taxonomies | 104100000X Social Worker (Licence: WA LW60312254) |
Enumeration Date | 2017-09-08 |
Last Update Date | 2024-12-13 |