NPI | 1053759985 |
---|---|
Former Name | ASHLEY CAROLINA GRAHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8572468-3502) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 8572468-3501) |
Enumeration Date | 2013-06-13 |
Last Update Date | 2024-05-13 |