NPI | 1093194227 |
---|---|
Former Name | CARRIE STURGEON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1399) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 13556788-3501) |
Enumeration Date | 2015-05-20 |
Last Update Date | 2024-12-31 |