NPI | 1144595323 |
---|---|
Former Name | LACEY HARPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1046) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW-1942) |
Enumeration Date | 2012-03-20 |
Last Update Date | 2017-09-01 |