NPI | 1154664761 |
---|---|
Former Name | DIANA HELENE FOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60619562) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 33780) |
Enumeration Date | 2013-04-02 |
Last Update Date | 2024-03-20 |