NPI | 1013517994 |
---|---|
Former Name | APRIL MICHELLE CALHOUN; MALLOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID LCSW-40121) |
Enumeration Date | 2020-10-29 |
Last Update Date | 2020-10-29 |