NPI | 1164670444 |
---|---|
Former Name | JASMIN CAMILLE STATON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: TN 7248) |
Additional Taxonomies | 104100000X Social Worker (Licence: AR 2156-M) |
Enumeration Date | 2008-08-28 |
Last Update Date | 2008-08-28 |