NPI | 1134704513 |
---|---|
Former Name | PAULA KAY HEDRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11295949-3502) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 11295949-3501) |
Enumeration Date | 2021-03-16 |
Last Update Date | 2022-05-03 |