NPI | 1043746563 |
---|---|
Former Name | DORIAN HARR |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 108408) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 84557) |
104100000X Social Worker (Licence: CA 84557) | |
Enumeration Date | 2017-05-03 |
Last Update Date | 2024-08-11 |