NPI | 1063762136 |
---|---|
Former Name | LENAEA MARIE SANDERS-WOODWORTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 82294) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA 82294) |
Enumeration Date | 2012-09-14 |
Last Update Date | 2019-04-06 |