NPI | 1114299302 |
---|---|
Former Name | DORINDA LINN GATLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 55068) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX 55068) |
Enumeration Date | 2012-02-02 |
Last Update Date | 2023-08-15 |