NPI | 1124448105 |
---|---|
Former Name | SHAYLA MONROE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN SW5975) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW11763) |
Enumeration Date | 2014-04-17 |
Last Update Date | 2014-08-19 |