NPI | 1164803763 |
---|---|
Former Name | BRENDA YVONNE DORSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: GA MSW006253) |
Additional Taxonomies | 104100000X Social Worker (Licence: SC 10461) |
Enumeration Date | 2015-06-09 |
Last Update Date | 2015-06-09 |