NPI | 1043606890 |
---|---|
Former Name | CAROLYN GRACE HUGHES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW65540) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904009405) |
1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-0544) | |
Enumeration Date | 2015-04-08 |
Last Update Date | 2024-07-09 |