NPI | 1134644248 |
---|---|
Former Name | RONNA LYNN HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW24441) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 24441) |
Enumeration Date | 2017-08-09 |
Last Update Date | 2023-05-26 |