NPI | 1083081780 |
---|---|
Former Name | BLAIR EVANS JAMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW66155) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 66155) |
Enumeration Date | 2015-08-28 |
Last Update Date | 2024-08-15 |