NPI | 1124576913 |
---|---|
Former Name | RANNDI MARIE TUTOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011872) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC p010934) |
Enumeration Date | 2016-09-21 |
Last Update Date | 2018-11-12 |