NPI | 1043528383 |
---|---|
Professional Name | PORSCHE M TERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 64683) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW28940) |
Enumeration Date | 2010-09-21 |
Last Update Date | 2023-04-17 |