NPI | 1033639281 |
---|---|
Former Name | SHANTE' S CURRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 256497) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 252156) |
Enumeration Date | 2017-06-20 |
Last Update Date | 2023-09-25 |