NPI | 1013419803 |
---|---|
Former Name | SHARITA VIVIAN MARSHALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical |
Additional Taxonomies | 1041S0200X Social Worker School (Licence: VA PPS0605016) |
Enumeration Date | 2018-03-07 |
Last Update Date | 2025-08-05 |