NPI | 1154730752 |
---|---|
Former Name | REBECCA SUE SAULTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 7079) |
Additional Taxonomies | 104100000X Social Worker (Licence: TN 10577 (LMSW license)) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-08-07 |
Last Update Date | 2024-02-07 |