NPI | 1124293675 |
---|---|
Former Name | DANA LYNN HAMMOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 00992707) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 13923) |
Enumeration Date | 2008-04-25 |
Last Update Date | 2023-08-07 |