NPI | 1144879156 |
---|---|
Former Name | INESHIA RESHAWN GOODS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 108349) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C014404) |
1041C0700X Social Worker Clinical (Licence: NC P013444) | |
Enumeration Date | 2019-09-11 |
Last Update Date | 2022-12-07 |