NPI | 1104371202 |
---|---|
Former Name | JULIANA M WHITWORTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 8792-C) |
Additional Taxonomies | 104100000X Social Worker (Licence: AR 8792-M) |
Enumeration Date | 2016-08-18 |
Last Update Date | 2020-10-12 |