NPI | 1114315108 |
---|---|
Former Name | AMBER HOLLINGSWORTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007971A) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2014-12-30 |
Last Update Date | 2018-01-05 |