NPI | 1023202330 |
---|---|
Former Name | SHELBYE LEVINE SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 9182-C) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2007-08-29 |
Last Update Date | 2025-01-31 |