NPI | 1033599618 |
---|---|
Former Name | AMBER DUKES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009947) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P007673) |
Enumeration Date | 2015-06-09 |
Last Update Date | 2019-11-18 |