NPI | 1013258656 |
---|---|
Former Name | KANEKA D EARLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929267) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 11815) |
1041C0700X Social Worker, Clinical (Licence: VA 0904008160) | |
1041C0700X Social Worker, Clinical (Licence: NC C010378) | |
Enumeration Date | 2013-03-06 |
Last Update Date | 2023-05-23 |